Individual
LESLIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1730 SW PARKWAY DR, REDMOND, OR 97756-2543
(541) 815-4392
Mailing address
3220 SW JUNIPER AVE, REDMOND, OR 97756-7680
(541) 815-4392
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
21467
OR
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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